Medicare Operations Manager Jobs in Atlanta, GA (NOW HIRING)

• Location: Remote and will transition to in-person, 5 days near Bolingbrook, IL and Sandy Springs, GA
• Travel Expectations: Up to 25%
• Employment Type: Full-Time / Contract-to-Hire
• Job Reports To: Vice President, Finance
• Salary Range: $100,000-140,000

Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients.

Phamily, the company's core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care.  Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Learn more at phamily.com.

As Jaan Health rapidly scales to support more patients, operational excellence in revenue cycle management is increasingly critical to the company's success. Every enrolled patient represents a recurring reimbursement opportunity that depends on accurate, compliant, and timely billing execution.

The Revenue Cycle Operations Manager owns the end-to-end operational management of Jaan Health's monthly billing cycle. This highly hands-on role is responsible for all activities leading up to claim submission, including billing data preparation, compliance validation, charge file generation, quality assurance, reconciliation, and client deliverables. The role also oversees the post-submission process by partnering closely with clients and their Revenue Cycle Management (RCM) teams to resolve discrepancies, optimize billing performance, and ensure a seamless revenue cycle from submission through reconciliation.

As a Revenue Cycle Operations Manager, you will serve as the strategic revenue cycle partner to client executive leadership across Jaan Health's portfolio of health systems, ACOs, and large medical groups.

In this client-facing role within our Customer Success organization, you will own the financial health and reimbursement performance of our accounts. You will ensure our health system partners achieve maximum reimbursement yield from Medicare care management programs (CCM, RPM, APCM) using the Phamily platform. You will serve as the bridge between client CFOs/Billing Directors, third-party RCM teams, and internal Product leaders—transforming complex billing data into actionable revenue strategies that drive high net revenue retention (NRR) and long-term client expansion.

Executive Account Strategy & Revenue Partnership

• C-Suite Advisory: Serve as the primary RCM domain expert and strategic partner to client CFOs, VPs of Revenue Cycle, and Billing Directors.
• Monthly Business Reviews (MBRs): Lead executive financial reviews that demonstrate clear program ROI, highlight net collection yield, and showcase the financial value delivered by the Phamily platform.
• CMS Program Expertise: Educate client executive teams on evolving CMS regulations, CPT coding guidelines, and reimbursement frameworks surrounding Medicare care management programs.

Yield Optimization & Denial Resolution

• Claim Yield Ownership: Monitor client-level claim submission success,identifying root-cause operational or clinical documentation bottlenecks before they cause revenue leakage.
• Denial Strategy & Playbooks: Analyze post-submission rejection trends and establish proactive feedback loops with client billing teams and third-party RCM partners to maintain a >95% first-pass clean claim rate.
• Workflow Alignment: Partner with client billing leaders to streamline end-to-end charge file submission, clearinghouse handoffs, and electronic claim reconciliation (837/835 workflows).

Cross-Functional Product & Growth Leadership

• Voice of the Customer (RCM): Partner directly with Product and Engineering to translate complex health system billing workflows, EHR integration challenges, and payer requirements into platform feature enhancements.
• Account Expansion Support: Collaborate with Customer Success Directors to identify account growth opportunities by providing clear financial proof of reimbursement yield and operational efficiency.

• 6+ years of experience in healthcare Revenue Cycle Management (RCM), healthtech Client Success, or RCM management consulting.
• Demonstrated track record of managing senior client relationships (CFOs, Billing Directors, RCM VPs) within health systems, ACOs, or large physician practices.
• Deep operational knowledge of Medicare physician billing, CMS compliance rules, and care management reimbursement programs (CCM, RPM, APCM, TCM).
• EHR & Billing System Fluency: Understanding of enterprise EHR/PM systems (Epic, Cerner, AthenaHealth, eClinicalWorks) and electronic claims data flows.
• Executive Presentation Skills: Ability to analyze complex billing datasets and translate them into polished executive presentations, ROI models, and clear strategic narratives.

Work style & logistics (drive home location and travel reqs here):

We are a fast-growing, early-stage company with a bold mission and significant work ahead; every employee at Jaan Health must embody growth company DNA. This means you have proven success in a high-performing environment: high velocity, strong ownership, comfort with ambiguity, resilience, and a true growth mindset.

You are both a playbook builder and executor, able to design scalable approaches for today while anticipating what the business will need tomorrow, and then follow through to deliver results.

Our culture is built on five principles that shape how we work, lead, and grow: 

• Care: We put patients, clients, teammates, and outcomes first. 
• Curiosity: We ask better questions, challenge assumptions, and keep learning. 
• Clarity: We simplify complexity, communicate directly, and create alignment. 
• Co-Creation: We collaborate across teams, perspectives, and disciplines. 
• Craftsmanship: We execute with excellence, ownership, and continuous improvement.

Our Compensation & Benefits 

• Location: Remote and will transition to in-person, 5 days near Bolingbrook, IL and Sandy Springs, GA
• Travel Expectations: Up to 25%
• Employment Type: Full-Time / Contract-to-Hire
• Job Reports To: Vice President, Finance
• Salary Range: $100,000-140,000
• Competitive compensation based on experience and impact
• Comprehensive medical, dental, and vision coverage for employees and dependents at a low cost
• Generous Paid Time Off: up to 35 paid days off each year so you can recharge, recover, and give back, including:
• 12 vacation days accrued annually for rest, travel, and personal time
• Up to 9 sick/wellness days to prioritize your health and well-being
• 12 paid company holidays throughout the year
• 2 Paid Give-Back Days to volunteer and make a meaningful impact in the communities you care about
• HSA and FSA account options
• 401(k) with company match after 6 months of full-time employment
• 100% match on the first 3% contributed, and 50% match on the next 2% contributed
• A collaborative, mission-driven team helping transform healthcare at scale

If you take pride in delivering results, embrace challenges, and proactively seek improvement, then this is the place for you. You'll join a smart, humble, and collaborative team dedicated to improving healthcare. 

Phamily is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other legally protected status.